Samantha D Reynolds, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9233956 Issued in FL

Practice address

300 Health Park Blvd Ste 3002
Saint Augustine, FL 32086-3703

Phone

(904) 819-1500

Fax

(904) 810-1023

NPI assigned

Mar 24, 2015

Last updated

Jan 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Woman Care, LLC

  dba Alline

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1386823243
  Medicare reassignment Care Compare group NPD
• Neuroscience Associates Inc

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Key West, FL
  • NPI 1063834901
  Medicare reassignment NPD
• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032
  Medicare reassignment NPD
• Womankind, Inc.

  • Obstetrics & Gynecology Physician
  • Key West, FL
  • NPI 1558666750

  Family

  Medicare reassignment NPD
• Florida Woman Care LLC

  • Obstetrics & Gynecology Physician
  • St Augustine, FL
  • NPI 1922676105
  NPD
• Neuroscience Associates Inc

  • Orthopaedic Foot and Ankle Surgery Physician
  • Key West, FL
  • NPI 1598323214
  NPD
• Womencare PA

  • Specialist
  • Orlando, FL
  • NPI 1366529042
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1033503438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK BLVD STE 3002",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320863703",
            "telephone_number": "904-819-1500",
            "fax_number": "904-810-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK BLVD STE 3002",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320863703",
            "telephone_number": "904-819-1500",
            "fax_number": "904-810-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SAMANTHA",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9233956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014640900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ID313Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Jared Retherford, OTR/L
• Charlie Lee Revay
• Karl Reyes, RN
• Regino Irwin Bariso Reyes, PT
• Jennifer Reynolds, M.S., C.C.C.
• Rez Inc
• Rheumatology Wellness Center PLLC
• Trayce Rhoads, APRN, PMHNP-BC
• Anne Marie Rhoden, LMT
• Maureen Riccitello, ARNP

• Family Nurse Practitioner in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.